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Individual

JENNIFER ANN MILLS

Active
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Individual

JENNIFER ANN MILLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A.,CCC/SLP

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
025670
NY
235Z00000X
Speech-Language Pathologist
102304
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0046NN
BLUE CROSS BLUE SHIELD
TX
05
—
178709501
—
TX
01
—
676617
MEDICARE PART A
TX
Enumeration date
02/11/2009
Last updated
09/22/2016
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